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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELLEN GRACE WISE
NPI 1144176538
Physician Assistant in Brunswick, ME

Active since March 09, 2026PECOS Enrolled
193 BATH RD, BRUNSWICK, ME 04011(207) 424-2272 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2026, Mar 9, 2026 (2 updates tracked since 2026).

About Ellen Grace Wise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN GRACE WISE (NPI 1144176538) is an individual physician assistant in Brunswick, Maine, licensed in Maine (PA3080) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144176538
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLEN GRACE WISE
Location Address193 BATH RDBrunswick, ME 04011-2607
Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105 · (603) 410-6700
Phone(207) 424-2272
Sole ProprietorNo
Enumeration DateMarch 9, 2026
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1144176538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ME · PA3080
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
193 BATH RD, Brunswick, ME 04011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Grace Wise is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHEILA M HOSPIDALES FNP-BC
Nurse Practitioner (Family)
193 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 424-2272
CONVENIENTMD - FFS UC LLC
Clinic/Center (Urgent Care)
193 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 424-2272
TIFFANY MCLAUGHLIN FNP-C
Nurse Practitioner (Family)
193 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 424-2277
CONVENIENTMD LLC
Clinic/Center (Urgent Care)
193 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 424-2272
MRS. JENNIFER LEIGH REARDON FNP
Nurse Practitioner (Family)
193 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 424-2272
JULIA G HUSSEY PA-C
Physician Assistant
193 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 424-2272
MR. BENJAMIN C. TYAU PA-C
Physician Assistant
193 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 424-2272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Wise's NPI number?

The NPI number for Ellen Wise is 1144176538. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Ellen Wise located?

Ellen Wise practices at 193 Bath Rd, Brunswick, ME 04011. The listed phone number is (207) 424-2272.

What is Ellen Wise's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ellen Wise enrolled in Medicare?

Yes. Ellen Wise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Wise was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.